Individual provider · Type 1 NPI
Mirena Nikolova, NP
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1699030296
Active
Practice location
234 E 149th St # 326
Bronx, NY 10451-5504
Mailing address
6225 Woodhaven Blvd Apt 1B
Rego Park, NY 11374-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 308782 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1699030296
Mirena Nikolova, NP's National Provider Identifier is 1699030296, issued on Jul 10, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on May 24, 2023.